| NPI | 1639330301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: CA A114239) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: WA 60328158) |
| Enumeration Date | 2008-06-24 |
| Last Update Date | 2013-08-12 |